| NPI | 1205993060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA KINSEY Finance Director 719-589-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CO 150) |
| Additional Taxonomies | 251C00000X |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2022-03-24 |